Individual provider · NPI-1

Omar Abdullahi, MD

Internal Medicine · Minneapolis, MN

NPI number1184118200
StatusActive
Last updated in NPPESNov 8, 2021

Details

NPI
1184118200
Entity type
Individual (NPI-1)
Name
Omar Abdullahi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 21, 2018
Certification date
Nov 8, 2021
Last updated
Nov 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine66380MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2800 Chicago Ave Ste 250
Minneapolis, MN 55407-1355

Phone 612-863-4000

Mailing address

2800 Chicago Ave Ste 250
Minneapolis, MN 55407-1355

Phone 612-863-4000

Other practice locations

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-863-4000 · Fax 763-236-3026

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